NPI | 1518575893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 20220021049) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2020021049) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 79572) | |
Enumeration Date | 2020-07-22 |
Last Update Date | 2023-07-14 |