NPI | 1699089714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2014034174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 217268) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2023-08-02 |