NPI | 1558759159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 94243) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 0094243) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2017-01-31 |