NPI | 1336693159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008804) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008804) |
363L00000X Nurse Practitioner (Licence: NC 5008804) | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2024-07-17 |