NPI | 1710562988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014755) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 245430) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5014755) | |
Enumeration Date | 2021-03-10 |
Last Update Date | 2024-03-01 |