NPI | 1043656721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012877) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012877) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP012877) | |
Enumeration Date | 2013-05-21 |
Last Update Date | 2024-06-11 |