NPI | 1043075096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28311) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28311) |
Enumeration Date | 2024-02-19 |
Last Update Date | 2025-02-21 |