NPI | 1760609978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-0012) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0010-0012) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2022-07-13 |