NPI | 1073698692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71006624A) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12788915-4405) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008080) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14882) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-10-14 |