NPI | 1215518154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012522) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11012522) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2022-08-08 |