NPI | 1679959829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7277-033) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7277-033) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2023-05-15 |