NPI | 1063236099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 1971939) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2024095727) |
Enumeration Date | 2024-11-15 |
Last Update Date | 2024-11-27 |