NPI | 1023543725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 0134207) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 7079) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2024-06-09 |