NPI | 1013455898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R210277) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1033206) |
163W00000X Registered Nurse (Licence: MD R210277) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2022-08-16 |