NPI | 1245810613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R233838) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R233838) |
Enumeration Date | 2021-04-10 |
Last Update Date | 2024-05-06 |