NPI | 1336651504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175453) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175453) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0017144472) | |
Enumeration Date | 2017-10-27 |
Last Update Date | 2022-03-09 |