NPI | 1144603325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-083330) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R899677) |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-083330) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R899677) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2024-01-10 |