NPI | 1861918344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134875) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital |
363L00000X Nurse Practitioner (Licence: TX AP134875) | |
261Q00000X Clinic/Center | |
Enumeration Date | 2017-08-16 |
Last Update Date | 2022-03-18 |