NPI | 1467680272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 203899) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9384052) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9384052) | |
Enumeration Date | 2009-06-30 |
Last Update Date | 2023-05-26 |