NPI | 1245293638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R060407) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD R060407) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2009-03-23 |