NPI | 1649953795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP027432) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: PA RN709258) |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |