NPI | 1689803306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 227294) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN111657) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2025-07-05 |