NPI | 1235151408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP023027) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp008064) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-01-05 |