NPI | 1114484862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000085) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11000085) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11000085) | |
Enumeration Date | 2019-02-28 |
Last Update Date | 2024-09-18 |