NPI | 1073038824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP10393) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP10393) |
363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP10393) | |
Enumeration Date | 2017-08-12 |
Last Update Date | 2024-09-18 |