NPI | 1003855271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 556) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200550102NP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 556) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200550103NP) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2007-07-08 |