NPI | 1649250986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4308) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1277) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2021-08-02 |