NPI | 1568948339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN254363) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX APRN-CMP1213980) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2025-09-24 |