NPI | 1932386125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R048876) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX AC000494) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401691) | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2017-03-21 |