NPI | 1063010395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11034258) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9491841) |
Enumeration Date | 2020-10-09 |
Last Update Date | 2024-08-26 |