NPI | 1710694286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 9677) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2114570) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-10 |