NPI | 1730781824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004143) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 924503) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1028635) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP200005127) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN299890) | |
Enumeration Date | 2020-11-12 |
Last Update Date | 2024-08-08 |