NPI | 1235977075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010686) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0070369) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC006879) | |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-10-02 |