NPI | 1710544580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10028400) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10556) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012317) | |
Enumeration Date | 2019-05-28 |
Last Update Date | 2024-09-16 |