NPI | 1770304768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-242602) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-242602) |
Enumeration Date | 2024-10-22 |
Last Update Date | 2025-07-28 |