NPI | 1245985456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R189419) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R189419) |
Enumeration Date | 2022-02-16 |
Last Update Date | 2024-11-01 |