NPI | 1508698523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: FL RN9503882) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11034901) |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-22 |