NPI | 1356113252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN273706) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 29352) |
Enumeration Date | 2023-10-24 |
Last Update Date | 2024-10-01 |