NPI | 1639841729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25465) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 25465) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC RN246429) | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2022-01-13 |