NPI | 1619500097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 45234) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 171039) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002106-C-NP) | |
Enumeration Date | 2020-02-13 |
Last Update Date | 2024-07-22 |