NPI | 1497995286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R143503) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R143503) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2019-07-02 |