NPI | 1487044897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131032) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000421) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 293115) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131032) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 293115) | |
Enumeration Date | 2015-01-24 |
Last Update Date | 2024-04-24 |