NPI | 1912443656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008364) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 172218) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2023-10-09 |