NPI | 1427559228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1198884) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 319438) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2025-07-24 |