NPI | 1992217822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61099033) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 817455) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 817455) | |
Enumeration Date | 2017-11-01 |
Last Update Date | 2022-11-22 |