NPI | 1285966036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC APRN4075) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 4075) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2022-07-21 |