NPI | 1326370735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP05866) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN094959-AP05866) |
Enumeration Date | 2010-02-10 |
Last Update Date | 2025-08-14 |