NPI | 1790038347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 244602) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NC 244602) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2021-02-04 |