NPI | 1003559808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022021651) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2007017725) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2023-11-24 |