NPI | 1255712956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP037245) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014876) |
Enumeration Date | 2015-06-18 |
Last Update Date | 2023-06-06 |