NPI | 1265036537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013887) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 260169) |
Enumeration Date | 2020-11-26 |
Last Update Date | 2021-01-26 |