NPI | 1992712442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 751) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 751) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-02-22 |