NPI | 1750856324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-126315) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-126315) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2018-11-12 |