NPI | 1639703267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1045023) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1045023) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2025-05-21 |