NPI | 1518114248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R185572) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185572) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2021-10-29 |