NPI | 1396328357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02905) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1051009) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2275333) | |
Enumeration Date | 2021-04-28 |
Last Update Date | 2024-10-23 |