NPI | 1104603984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 2362236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2362236) |
Enumeration Date | 2023-09-13 |
Last Update Date | 2023-09-22 |