NPI | 1467966374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP135902) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 644295) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2022-03-09 |