NPI | 1164194429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-124928) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-124928) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-124928) | |
Enumeration Date | 2021-10-04 |
Last Update Date | 2023-08-22 |