NPI | 1093148629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11031059) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023001721) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 223494) | |
Enumeration Date | 2013-08-19 |
Last Update Date | 2024-07-03 |