NPI | 1720361751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006990) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 232888) |
Enumeration Date | 2011-09-26 |
Last Update Date | 2014-07-11 |