NPI | 1457802498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174051) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R182600) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024174051) | |
Enumeration Date | 2016-10-14 |
Last Update Date | 2023-05-12 |