NPI | 1942670716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F06231698) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 186611-30) |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 186611-30) | |
Enumeration Date | 2015-10-05 |
Last Update Date | 2024-07-17 |