NPI | 1386644821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 760444) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 10875) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2024-08-13 |