NPI | 1396067906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015003170) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 154542) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2020-12-30 |