NPI | 1295860815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04441) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP04441) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2014-10-29 |