NPI | 1841460086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R126340) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R126340) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2014-04-30 |