NPI | 1679850044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP02817) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 17616) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NM cnp02817) | |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP02817) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP02817) | |
Enumeration Date | 2011-11-12 |
Last Update Date | 2024-07-26 |