NPI | 1841646080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7047-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7047) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2024-05-26 |