NPI | 1376904607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 132640) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132640) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2024-08-09 |