NPI | 1851472989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 079043254N1) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200550081NP) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2022-10-19 |