NPI | 1700223609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5006213) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5006213) |
363LP2300X Nurse Practitioner Primary Care (Licence: NC 5006213) | |
Enumeration Date | 2013-05-31 |
Last Update Date | 2018-08-30 |