NPI | 1013614668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN296953) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA RN296953) |
Enumeration Date | 2023-02-14 |
Last Update Date | 2024-05-23 |