NPI | 1487083424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 173267) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 49370) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2021-08-10 |