NPI | 1336544022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11144) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 833234) |
Enumeration Date | 2014-10-24 |
Last Update Date | 2024-01-19 |