NPI | 1487943486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1565) |
363L00000X Nurse Practitioner (Licence: LA AP06252) | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2022-06-06 |