NPI | 1194260216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9253751) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9253751) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2021-12-16 |