NPI | 1740929272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189353) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-4042) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000748) | |
Enumeration Date | 2022-06-02 |
Last Update Date | 2024-11-21 |