NPI | 1306192646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100684) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 32763) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2024-04-08 |