NPI | 1154054450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 500013746) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 173506) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 822739-01) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209025799) | |
Enumeration Date | 2022-07-05 |
Last Update Date | 2023-11-06 |