NPI | 1730506981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP07703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA RN126015) |
363LF0000X Nurse Practitioner Family (Licence: MS R868164) | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2023-03-14 |