NPI | 1831814342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1096592) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 682845) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2023-03-21 |