NPI | 1902390941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09991) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09991) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2025-07-09 |