NPI | 1962656348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003349) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN196128) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145828) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN196128) | |
Enumeration Date | 2008-11-11 |
Last Update Date | 2024-06-13 |