NPI | 1235639535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 284947) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 284947) |
163W00000X Registered Nurse (Licence: NY 740849) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 740849) | |
Enumeration Date | 2018-02-14 |
Last Update Date | 2019-09-17 |