NPI | 1730369356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3005354) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP 17796) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005354) | |
Enumeration Date | 2007-11-12 |
Last Update Date | 2024-05-23 |