NPI | 1902343189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174441) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174441) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174441) | |
Enumeration Date | 2017-01-25 |
Last Update Date | 2024-05-16 |