NPI | 1801533179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61528370) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX 1075225) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1075225) | |
Enumeration Date | 2022-05-17 |
Last Update Date | 2025-06-26 |