NPI | 1487207122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 142868) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 142868) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-07-22 |