NPI | 1710370069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004339) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR A004339) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2022-08-29 |