NPI | 1841624855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124315) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 838071) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2022-11-16 |