NPI | 1134748106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9239480) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9239480) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2023-07-06 |