NPI | 1568834984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130325) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N360926752) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9308697) | |
Enumeration Date | 2015-10-25 |
Last Update Date | 2020-02-02 |