NPI | 1275705725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5003959) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003959) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5003959) | |
Enumeration Date | 2008-03-25 |
Last Update Date | 2020-04-20 |