NPI | 1861138455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32283) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32283) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 210711) | |
363L00000X Nurse Practitioner (Licence: TN APN32283) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN TBD) | |
Enumeration Date | 2022-05-07 |
Last Update Date | 2023-08-21 |