NPI | 1336420298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR AO3592) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R50098) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2022-04-05 |