NPI | 1942527056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP117998) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 687773) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2023-02-09 |