NPI | 1982170213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R159659) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1002193) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD R159659) | |
Enumeration Date | 2018-10-14 |
Last Update Date | 2023-08-01 |