NPI | 1841938123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404364-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 728185) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404364) | |
Enumeration Date | 2022-05-25 |
Last Update Date | 2023-04-15 |