NPI | 1427563535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95008989) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61108955) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 228169) | |
Enumeration Date | 2017-12-12 |
Last Update Date | 2022-04-07 |