NPI | 1760959696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139122) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139122) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2024-02-21 |