NPI | 1992322168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95020783) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 239561) |
363L00000X Nurse Practitioner (Licence: TX AP144671) | |
Enumeration Date | 2020-07-02 |
Last Update Date | 2022-10-05 |