NPI | 1356879852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 291188) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP2745662) |
Enumeration Date | 2017-05-27 |
Last Update Date | 2023-07-20 |