NPI | 1679102883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1157891) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 988738) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2024-05-23 |