NPI | 1992424873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184752) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001250001) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |