NPI | 1467166306 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA FLUKER Owner/Practitioner 214-770-0420 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-06-14 |