NPI | 1467815266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R46933) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R46933) |
363LF0000X Nurse Practitioner, Family (Licence: MN 7237) | |
363LF0000X Nurse Practitioner, Family (Licence: SD CP001057) | |
Enumeration Date | 2016-03-30 |
Last Update Date | 2023-06-15 |