NPI | 1295254340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 6177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 6177) |
Enumeration Date | 2017-09-10 |
Last Update Date | 2023-09-21 |