NPI | 1417351255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R158162) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R158162) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2023-12-05 |