NPI | 1215653589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020420) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020420) |
Enumeration Date | 2022-10-18 |
Last Update Date | 2025-09-25 |