NPI | 1932724556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020016215) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017039599) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019095646) | |
Enumeration Date | 2020-06-09 |
Last Update Date | 2023-04-27 |