NPI | 1477199693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9875-33) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 139856) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 139856) | |
Enumeration Date | 2019-11-22 |
Last Update Date | 2023-11-08 |