NPI | 1417482670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP133116) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX AP133116) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2025-06-10 |