NPI | 1407533672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14115) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14115) |
163W00000X Registered Nurse (Licence: WI 229878) | |
Enumeration Date | 2023-06-29 |
Last Update Date | 2024-06-13 |