NPI | 1164021978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189450) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001260283) |
363L00000X Nurse Practitioner (Licence: VA 0024189450) | |
Enumeration Date | 2020-10-22 |
Last Update Date | 2024-07-01 |