NPI | 1538576905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5842-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5842) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2024-08-19 |