NPI | 1770883894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 402129) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 264118) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 264118) | |
Enumeration Date | 2010-10-22 |
Last Update Date | 2024-10-25 |