NPI | 1134626567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 232740) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R074135) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2025-05-13 |