NPI | 1629564307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0010413) |
Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: PA RN358674L) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2023-10-05 |