NPI | 1003396367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001171) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DE L1-0032506) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-05-26 |