NPI | 1013627975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 2243056) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2243056) |
Enumeration Date | 2022-12-01 |
Last Update Date | 2022-12-01 |