NPI | 1972847515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1021681) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003457-C-NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403623) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 263319) | |
Enumeration Date | 2012-11-20 |
Last Update Date | 2023-08-08 |