NPI | 1669403218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 04576) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 722355) |
363LF0000X Nurse Practitioner, Family (Licence: LA 83778AP04576) | |
363LF0000X Nurse Practitioner, Family (Licence: NM 02068) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2022-02-18 |