NPI | 1760482327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8175) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704126846) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704126846) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP8176) | |
Enumeration Date | 2005-07-26 |
Last Update Date | 2015-10-15 |