NPI | 1760631923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 194285) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 194285) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8053) | |
Enumeration Date | 2008-09-12 |
Last Update Date | 2024-05-23 |