NPI | 1528694783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012726A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164485A) |
Enumeration Date | 2020-03-19 |
Last Update Date | 2022-07-15 |