NPI | 1013443159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9205797) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9205797) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2021-07-08 |