NPI | 1902563620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 246900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 246900) |
Enumeration Date | 2021-11-17 |
Last Update Date | 2022-09-20 |