NPI | 1770040487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap139700) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 73266) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap139700) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10405) | |
Enumeration Date | 2019-02-28 |
Last Update Date | 2024-10-17 |