NPI | 1588144778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030781) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 009180) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902578) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2022-11-08 |