NPI | 1417118795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R250829) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 533059-1) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402509) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2023-03-09 |