NPI | 1225032691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1319) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1319) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2013-02-27 |