NPI | 1992280622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 269865) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24778) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 269865) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24778) | |
Enumeration Date | 2018-09-28 |
Last Update Date | 2024-07-26 |