NPI | 1528699675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 65770) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178413) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2025-03-31 |