NPI | 1245811181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403401) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633310) |
363LF0000X Nurse Practitioner, Family (Licence: NY 338438) | |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-04-20 |