NPI | 1215579156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 57133) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM 57133) |
Enumeration Date | 2019-10-11 |
Last Update Date | 2024-05-16 |