NPI | 1467073908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2271471) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70029700) |
163W00000X Registered Nurse (Licence: IN 28199015A) | |
Enumeration Date | 2020-05-06 |
Last Update Date | 2025-09-11 |