NPI | 1225115009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 003415) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CT R50002) |
363LF0000X Nurse Practitioner Family (Licence: TX AP128952) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP128952) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-03-05 |