NPI | 1932643400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 229573) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 149442) |
Enumeration Date | 2016-12-18 |
Last Update Date | 2023-08-30 |