NPI | 1356937189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020042237) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014039593) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11014460) | |
Enumeration Date | 2020-12-16 |
Last Update Date | 2021-10-26 |