NPI | 1376193342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G156216) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G156216) |
363LA2200X Nurse Practitioner Adult Health (Licence: IA G156216) | |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |