NPI | 1043682685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R189380) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R189380) |
363LF0000X Nurse Practitioner Family (Licence: MD R189380) | |
363LP2300X Nurse Practitioner Primary Care (Licence: MD R189380) | |
Enumeration Date | 2015-10-22 |
Last Update Date | 2022-10-10 |