NPI | 1932357985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R101981) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD R101981) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2019-05-17 |