NPI | 1295301307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403657) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 597819) |
Enumeration Date | 2021-05-29 |
Last Update Date | 2023-06-06 |