NPI | 1962021766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R205285) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R205285) |
Enumeration Date | 2020-04-11 |
Last Update Date | 2024-05-29 |