NPI | 1578822680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4470) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4470) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2024-08-14 |