NPI | 1013704972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193349) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61685222) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10026417) | |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-06-09 |