NPI | 1962458182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3355) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02022) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-02022) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-11-10 |