NPI | 1811024219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5001313) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 152520) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5001313) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2023-03-01 |