NPI | 1902113418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024178271) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633226) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2024-09-11 |