NPI | 1003539842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 9400) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9400) |
Enumeration Date | 2022-09-26 |
Last Update Date | 2024-12-10 |