NPI | 1417598079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6939) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 251578) |
163W00000X Registered Nurse (Licence: MN 2469127) | |
363L00000X Nurse Practitioner (Licence: WI 9863) | |
363L00000X Nurse Practitioner (Licence: MN 6939) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9863) | |
Enumeration Date | 2019-10-04 |
Last Update Date | 2024-08-28 |