NPI | 1992336242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R207971) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207971) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2023-07-05 |