NPI | 1013737212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021005) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021005) |
Enumeration Date | 2024-10-12 |
Last Update Date | 2024-10-12 |