NPI | 1396415113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021027654) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006036960) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2024-09-24 |