NPI | 1043441173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003320) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R73494) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2021-07-12 |