NPI | 1720801491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 55630) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO apn.1000206-np) |
Enumeration Date | 2024-11-01 |
Last Update Date | 2024-11-23 |