NPI | 1982062758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5008340) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5008340) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2022-11-28 |