NPI | 1790872828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 11572) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11572) |
363LF0000X Nurse Practitioner, Family (Licence: TN APN11572) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2024-11-20 |