NPI | 1821424227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03150) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN231734) |
Enumeration Date | 2013-09-18 |
Last Update Date | 2017-03-20 |