NPI | 1831904721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11042083) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9556000) |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-09-18 |