NPI | 1932566742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901675) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 892403) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2021-11-29 |