NPI | 1487391694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11933) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 236893) |
Enumeration Date | 2022-05-18 |
Last Update Date | 2022-05-27 |