NPI | 1477211332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1054321) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248376) |
163W00000X Registered Nurse (Licence: CA 95259776) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 1054321) | |
Enumeration Date | 2021-12-07 |
Last Update Date | 2023-02-27 |