NPI | 1194139394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R188410) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R188410) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2020-12-04 |