NPI | 1326807033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14692) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14692-33) |
Enumeration Date | 2024-03-15 |
Last Update Date | 2024-05-09 |