NPI | 1992223465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8437) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 235690-1) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2021-09-16 |