NPI | 1346617594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 218226) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002442) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95002442) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002442) | |
Enumeration Date | 2015-08-24 |
Last Update Date | 2023-08-01 |