NPI | 1538463559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP13118) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119703) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2022-01-12 |