NPI | 1245233964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 23159-1931) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: LA 23159-1931) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2023-03-07 |