NPI | 1144006438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5019856) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NC 243000) |
Enumeration Date | 2023-09-04 |
Last Update Date | 2024-03-30 |