NPI | 1689303372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025562) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP025562) |
Enumeration Date | 2022-06-08 |
Last Update Date | 2023-09-29 |