NPI | 1942820444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3014233) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3014233) |
Enumeration Date | 2020-04-24 |
Last Update Date | 2023-04-12 |