NPI | 1578171211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71010251A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021178) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2025-07-15 |