NPI | 1013625623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R245764) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC NP1045930) |
Enumeration Date | 2022-11-11 |
Last Update Date | 2023-07-05 |