NPI | 1689032617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128933) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128933) |
363L00000X Nurse Practitioner (Licence: OR 10017013) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP128933) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10017013) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0004086) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128933) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2024-08-21 |