NPI | 1740623800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R151601) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R151601) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2017-05-08 |