NPI | 1346505674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06879) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 110594-6879) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2025-10-20 |