NPI | 1366777138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 077350-23) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-2058) |
Enumeration Date | 2009-10-12 |
Last Update Date | 2024-01-18 |