NPI | 1114310398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9268985) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9268985) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2023-01-16 |