NPI | 1538997283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R814811) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R184811) |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-08-12 |