NPI | 1447932272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1089045) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 220966) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034564) | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2025-08-14 |