NPI | 1275819617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005394) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005394) |
Enumeration Date | 2011-10-31 |
Last Update Date | 2022-06-08 |