NPI | 1497802946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA Aprn03545) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03545 RN079325) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2024-06-06 |