NPI | 1790224996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112204) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112204) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2024-08-02 |