NPI | 1700211513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 846217) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201392160NP-PP) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 846217) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60411729) | |
Enumeration Date | 2013-09-11 |
Last Update Date | 2024-01-11 |