NPI | 1811654700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 282889) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 107067) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-11-26 |
Last Update Date | 2023-07-03 |