NPI | 1427299692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001242) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60191808) |
363LF0000X Nurse Practitioner, Family (Licence: IL 277001242) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209007506) | |
Enumeration Date | 2009-03-17 |
Last Update Date | 2023-07-26 |