NPI | 1033727169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 221504) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 121270) |
Enumeration Date | 2020-07-15 |
Last Update Date | 2022-03-05 |