NPI | 1851979181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R213043) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R213043) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R213043) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-05-14 |