NPI | 1679016885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9650) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100289-C-NP) |
363L00000X Nurse Practitioner (Licence: WA AP61195153) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 2022000650) | |
Enumeration Date | 2016-11-21 |
Last Update Date | 2024-05-07 |