NPI | 1528719911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1154136) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-180668) |
Enumeration Date | 2022-01-17 |
Last Update Date | 2024-07-07 |