NPI | 1144595828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23465) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2024-12-09 |