NPI | 1780211524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 236453) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 236453) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 236453) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-11-01 |