NPI | 1740731975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996709-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.019832) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019832) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019832) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024173888) | |
Enumeration Date | 2016-10-24 |
Last Update Date | 2022-05-13 |