NPI | 1881011385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1107104) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 682451) |
163W00000X Registered Nurse (Licence: TX 903815) | |
Enumeration Date | 2014-03-21 |
Last Update Date | 2024-02-14 |