NPI | 1881994440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003468) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR A003468) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR RO51515) | |
Enumeration Date | 2010-10-29 |
Last Update Date | 2021-06-11 |