NPI | 1497339329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9915) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 112729) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2022-11-10 |