NPI | 1760910749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23239) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 217569) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2022-07-21 |