NPI | 1144551284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9329113) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 21426) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9329113) | |
Enumeration Date | 2010-01-28 |
Last Update Date | 2022-09-21 |