NPI | 1013488519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24641) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 190665) |
Enumeration Date | 2018-12-09 |
Last Update Date | 2024-03-01 |