NPI | 1285075788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 005395) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 5395) |
363L00000X Nurse Practitioner (Licence: MN R231776-2) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2016-08-17 |