NPI | 1194030007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP000608) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000608) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2018-12-05 |