NPI | 1770697062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 70000154A) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 18236) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IN 70000154A) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9422273) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2021-02-10 |