NPI | 1659004927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017036) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 114228) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 26673) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000919) | |
Enumeration Date | 2022-07-05 |
Last Update Date | 2023-02-02 |