NPI | 1215146352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20831) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN223241) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60909330) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2022-02-14 |