NPI | 1902057177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MD R122619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R122619) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2022-06-03 |