NPI | 1629553243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404419) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062837) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2023-06-17 |