NPI | 1669647145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 61737) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3390-033) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 3390-033) | |
Enumeration Date | 2008-04-25 |
Last Update Date | 2024-02-03 |