NPI | 1548942212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5018689) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 2023126515) |
163W00000X Registered Nurse (Licence: TN 266186) | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2023-09-21 |