NPI | 1548024144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 242857) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 1072127) |
Enumeration Date | 2024-02-13 |
Last Update Date | 2025-08-19 |