NPI | 1003425042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11715-33) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015151) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 195980-30) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 151655) | |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-03-18 |