NPI | 1174099550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9494357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9494357) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 9494357) | |
Enumeration Date | 2018-10-23 |
Last Update Date | 2025-08-28 |