NPI | 1518142116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 058266) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 058266) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9654) | |
Enumeration Date | 2008-01-02 |
Last Update Date | 2023-01-18 |