NPI | 1770389900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 201780) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 201780) |
Enumeration Date | 2025-02-19 |
Last Update Date | 2025-02-19 |