NPI | 1326465857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 73404) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-71243) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2023-11-26 |