NPI | 1821209677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R242409) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LO-0000101) |
363L00000X Nurse Practitioner (Licence: MD R242409) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000668) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000180) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2025-01-16 |