NPI | 1053327999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001303) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001303) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-12-19 |