NPI | 1467888685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 078021-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 204924) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2024-03-04 |