NPI | 1588057806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19914) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161186) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2024-03-01 |