NPI | 1275142796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10219-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10219-33) |
Enumeration Date | 2020-07-30 |
Last Update Date | 2021-04-21 |