NPI | 1073240099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 202841) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 202841) |
Enumeration Date | 2022-08-01 |
Last Update Date | 2024-05-24 |