NPI | 1629805742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020970) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405932) |
163W00000X Registered Nurse (Licence: NC 373407) | |
163W00000X Registered Nurse (Licence: NY 849209) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2024041601) | |
Enumeration Date | 2024-09-14 |
Last Update Date | 2024-10-09 |