NPI | 1316365414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO xxxxxxxxxx) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO xxxxxxxxxxx) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2014-05-01 |