NPI | 1376121848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 57304) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 57304) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2023-08-28 |