NPI | 1447265376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001412) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP003699N) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 001412) | |
Enumeration Date | 2006-07-29 |
Last Update Date | 2023-03-07 |