NPI | 1588868921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-02382) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ RN030428) |
363L00000X Nurse Practitioner (Licence: AZ RN030428) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2014-07-31 |