NPI | 1356961932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-175980) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 175980) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2022-08-25 |