NPI | 1649248378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA C083996) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA C083996) |
363L00000X Nurse Practitioner (Licence: IA C083996) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2016-09-26 |