NPI | 1922335769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 137634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 137634) |
Enumeration Date | 2009-11-16 |
Last Update Date | 2019-05-20 |