NPI | 1407264989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA APO7969) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP07969) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2024-03-19 |