NPI | 1215310784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004771) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004771) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004771) | |
Enumeration Date | 2015-07-02 |
Last Update Date | 2021-12-12 |