NPI | 1912291451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 11727) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 44818) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2022-08-23 |