NPI | 1619481934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704293499) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704293499) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2024-01-04 |