NPI | 1124418728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024178688) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP9915) |
363L00000X Nurse Practitioner (Licence: FL ARNP 9356454) | |
Enumeration Date | 2015-02-03 |
Last Update Date | 2024-06-06 |