NPI | 1336452077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02648) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3625) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP3626) | |
363L00000X Nurse Practitioner (Licence: AZ AP3625) | |
Enumeration Date | 2010-07-23 |
Last Update Date | 2024-08-29 |