NPI | 1356358477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 2023150476) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 0375722) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2023-12-12 |