NPI | 1881464246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1134383) |
Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: TX 754934) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-04-10 |