NPI | 1538045869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12774700-8900) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 12774700-3102) |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-13 |