NPI | 1578205167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN500006779) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 830251) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2023-09-19 |