NPI | 1932518917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5878) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5878-33) |
363LF0000X Nurse Practitioner, Family (Licence: WI 5878) | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2023-11-15 |