NPI | 1740914035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12126) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 114737) |
Enumeration Date | 2022-07-12 |
Last Update Date | 2023-07-20 |