NPI | 1235764309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179509) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 000123867) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1059614) | |
Enumeration Date | 2020-03-09 |
Last Update Date | 2022-09-09 |