NPI | 1649721713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024884) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016478) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2023-01-30 |