NPI | 1568694917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX Ap118078) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118078) |
163W00000X Registered Nurse (Licence: TX 605793) | |
Enumeration Date | 2009-08-19 |
Last Update Date | 2025-03-21 |