NPI | 1134795180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN11013273) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11013273) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2024-02-07 |