NPI | 1033770698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 8263) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 8263) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-07-27 |