NPI | 1790951846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 119780) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 44584) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 119870) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2015-10-13 |