Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 1017834 | TX |
NPI | 1033719166 |
---|---|
Provider Name | Betty W Mulindi |
First Address | Dallas, TX 75247-6943 |
Second Address | Lancaster, TX 75146-6327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2020 |
Last Update Date | 12/01/2022 |