NPI | 1588154819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11672) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP11672) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP11672) | |
Enumeration Date | 2018-05-11 |
Last Update Date | 2023-01-12 |