NPI | 1639950348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND R40973) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND R40973) |
Enumeration Date | 2023-10-09 |
Last Update Date | 2024-06-18 |