NPI | 1356933113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3134) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225989-30) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-06-17 |