NPI | 1023207297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9324382) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0015000775) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165453) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL CNS 9324382) | |
Enumeration Date | 2007-10-23 |
Last Update Date | 2012-04-12 |