NPI | 1457350381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 099519) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 099519) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2018-11-14 |