NPI | 1235773326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 24318) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24318) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 211413) | |
Enumeration Date | 2019-10-31 |
Last Update Date | 2025-05-20 |