NPI | 1033694955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 213891) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: LA RN097415) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 213891) | |
Enumeration Date | 2018-09-26 |
Last Update Date | 2023-08-01 |