NPI | 1659622959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005192A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704273887) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005192A) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2021-09-20 |