NPI | 1538804604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM 78994) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NM 78994) |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: FL RN3384592) | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2024-10-24 |