NPI | 1275915464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP015577) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN605035) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2015-12-23 |