NPI | 1659794535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 897968) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 897968) |
363LF0000X Nurse Practitioner, Family (Licence: OH RN.349001-COA1) | |
Enumeration Date | 2014-01-28 |
Last Update Date | 2024-08-20 |