NPI | 1225646805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 832591) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 832591) |
207Q00000X Family Medicine (Licence: NV 832591) | |
363LF0000X Nurse Practitioner Family (Licence: CA 95017026) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95017026) | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2022-05-18 |