NPI | 1255712543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010423) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0036240) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2023-05-05 |