NPI | 1881008258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 271946) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A126717) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 271946) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A126717) | |
Enumeration Date | 2014-06-13 |
Last Update Date | 2024-01-26 |