NPI | 1699294595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23319) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 217630) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2018-03-17 |