NPI | 1851641955 |
---|---|
Professional Name | NONE NONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R174859) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R174859) |
Enumeration Date | 2012-09-16 |
Last Update Date | 2024-06-03 |