NPI | 1508216300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004757) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004757) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR R089137) | |
Enumeration Date | 2016-06-13 |
Last Update Date | 2024-03-07 |