NPI | 1275875205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17190) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 17190) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2023-10-13 |