NPI | 1093427817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 208107) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 208107) |
Enumeration Date | 2022-12-23 |
Last Update Date | 2025-02-24 |