NPI | 1912749532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017004031) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2017004031) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-07-18 |