NPI | 1699061945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120435) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120435) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61257557) | |
Enumeration Date | 2011-06-24 |
Last Update Date | 2024-05-30 |