NPI | 1053313536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2006023930) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110512) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 200842) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2011-07-27 |