NPI | 1508287186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124852) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX F1113167) |
Enumeration Date | 2013-12-26 |
Last Update Date | 2020-03-27 |