NPI | 1316474315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R209746) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD R209746) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-03-29 |