NPI | 1528242187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005061A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28135612A) |
Enumeration Date | 2007-12-19 |
Last Update Date | 2015-10-09 |