NPI | 1952067274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113895) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113895) |
363LF0000X Nurse Practitioner, Family (Licence: IA 166254) | |
Enumeration Date | 2021-11-10 |
Last Update Date | 2024-05-15 |