NPI | 1245015056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-185906) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185906) |
Enumeration Date | 2023-08-29 |
Last Update Date | 2025-02-07 |