NPI | 1912622416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9861) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2457467) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2023-02-28 |