NPI | 1699938530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141038) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 710347) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP141038) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2022-10-24 |