NPI | 1942607759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 039552-23) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 039552-23) |
Enumeration Date | 2014-11-21 |
Last Update Date | 2024-08-20 |