NPI | 1831379627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP144149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 645189) |
163WC1500X Registered Nurse, Community Health (Licence: CA 645189) | |
163WS0200X Registered Nurse, School (Licence: CA 645189) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19642) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144149) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2025-06-10 |