NPI | 1679016885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9650) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61195153) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1160775) | |
363L00000X Nurse Practitioner (Licence: CO C-APN.0100289-C-NP) | |
Enumeration Date | 2016-11-21 |
Last Update Date | 2025-02-21 |