NPI | 1093427726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61384094) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1100334) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101639) | |
Enumeration Date | 2022-12-13 |
Last Update Date | 2024-12-04 |