NPI | 1194293720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11000057) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11000057) |
Enumeration Date | 2018-11-13 |
Last Update Date | 2024-06-19 |