NPI | 1194963173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP05644) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP05644) |
Enumeration Date | 2009-01-28 |
Last Update Date | 2021-11-03 |