NPI | 1639647894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139318) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139318) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2024-10-28 |