NPI | 1386161602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-176367) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-176367) |
163W00000X Registered Nurse (Licence: TN 217543) | |
Enumeration Date | 2017-08-28 |
Last Update Date | 2021-05-24 |