NPI | 1528670858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R209308) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R209308) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2021-09-15 |