NPI | 1841759263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 25538) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 24183558) |
363L00000X Nurse Practitioner (Licence: TN 25538) | |
Enumeration Date | 2019-03-15 |
Last Update Date | 2023-07-20 |