NPI | 1861157406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2383361) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL RN9465893) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11018346) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.027837) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0100998-C-NP) | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2024-03-05 |