NPI | 1477223212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 263655) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-238234) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 54349) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R55909) | |
Enumeration Date | 2021-09-14 |
Last Update Date | 2024-05-13 |