NPI | 1316151368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61190903) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-4129) |
363L00000X Nurse Practitioner (Licence: NM CNP-03537) | |
363L00000X Nurse Practitioner (Licence: WA AP61190903) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2022-08-31 |