NPI | 1366824468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020009549) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015011479) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2024-12-19 |