NPI | 1215366497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AZ10825) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AZ10825) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2022-08-25 |