NPI | 1033585286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R886810) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R886810) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2019-04-10 |