NPI | 1003368531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9442554) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: FL ARNP 9442554) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2020-10-29 |