NPI | 1245752278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R226935) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1044797) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-05-10 |