NPI | 1992907372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT RN20513 MT) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT RN20513) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2024-08-07 |