NPI | 1356380356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006622) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL AP30006622) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006622) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-05-18 |