NPI | 1811364961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021481) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230320) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27247) | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2025-01-29 |