NPI | 1639896111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 227600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 112261) |
Enumeration Date | 2022-10-25 |
Last Update Date | 2022-10-25 |