NPI | 1821552282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R195903) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R195903) |
363LF0000X Nurse Practitioner, Family (Licence: MD R195903) | |
Enumeration Date | 2019-01-29 |
Last Update Date | 2024-10-10 |