NPI | 1639562093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: CA NP95013176) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2008005365) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 898960) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2015005077) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP130589) | |
Enumeration Date | 2015-03-10 |
Last Update Date | 2024-05-31 |