NPI | 1245719483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09891) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09891) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2023-03-13 |