NPI | 1790135747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131272) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131272) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2020-01-16 |