NPI | 1184907800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 060546-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN184442) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 060546-23) | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2021-06-11 |