NPI | 1407293608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R172548) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R172548) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2024-06-20 |