NPI | 1922208685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 089003200N6) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4299) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-1816) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2022-07-21 |