NPI | 1902321524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 218964) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002712-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP136092) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136092) | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2023-11-09 |