NPI | 1366964702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-061335) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-061335) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2024-10-03 |