NPI | 1922985126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R228144) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R228144) |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-10-01 |