NPI | 1164142014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: FL aprn11030900) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11030900) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2024-06-01 |