NPI | 1164994000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176979) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024176979) |
363L00000X Nurse Practitioner (Licence: VA 0024176979) | |
Enumeration Date | 2018-12-17 |
Last Update Date | 2024-05-22 |