NPI | 1386197507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM cnp-03013) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-03013) |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03013) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN114940) | |
Enumeration Date | 2016-07-25 |
Last Update Date | 2024-10-01 |