NPI | 1164495396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP518912) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP518912) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP518912) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2014-03-18 |