NPI | 1891196804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0103560) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 101.0103560) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2021-12-13 |