NPI | 1053847970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23590) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000210200) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2018-02-07 |