NPI | 1619504867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0000211) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R188409) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-04-03 |