NPI | 1255429536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0055935) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R71528) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0055935) | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 46445) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN079922) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-02-28 |