NPI | 1528725488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1059621) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61266450) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 207726) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 272029) | |
Enumeration Date | 2021-11-25 |
Last Update Date | 2025-01-28 |