NPI | 1316500671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 224627) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 224627) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2022-06-02 |