NPI | 1073282950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 178713) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 23308) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2023-05-16 |