NPI | 1134915762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11039131) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9303736) |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-28 |