NPI | 1124505714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 007683) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 007683) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT 007683) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 007683) | |
Enumeration Date | 2018-07-26 |
Last Update Date | 2022-09-14 |