NPI | 1336775550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN260961) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61286855) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015880) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166718) | |
Enumeration Date | 2020-03-19 |
Last Update Date | 2024-04-02 |