NPI | 1275944894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174604) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: VA 0001270799) |
176B00000X Midwife (Licence: VA 0024174604) | |
Enumeration Date | 2014-05-16 |
Last Update Date | 2024-10-25 |