NPI | 1184011918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 051986-23) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 051986-23) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 051986-23) | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2022-02-21 |