| NPI | 1306542865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIA DURU Administrator 214-597-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-11-20 |