NPI | 1427302520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013102) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027606) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00354200) | |
Enumeration Date | 2012-10-29 |
Last Update Date | 2023-12-28 |