NPI | 1740828763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 2021027960) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-153392) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-153392) | |
Enumeration Date | 2019-12-20 |
Last Update Date | 2021-09-16 |