NPI | 1316957285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 2409) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 002409) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2021-12-07 |