NPI | 1083360945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 49705) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO c-rxn-0002051-c-np) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071804) | |
Enumeration Date | 2022-03-01 |
Last Update Date | 2024-04-15 |