NPI | 1912971425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G147717) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 2061062) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 2061062) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2018-04-10 |