NPI | 1366170813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025445) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN599552) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2023-04-10 |