NPI | 1336907666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28915) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2607) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020273) | |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-10-27 |