NPI | 1669161600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R46947) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND R46947) |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-12-28 |