NPI | 1548788623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8112) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 192836) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2018-01-03 |