NPI | 1225489917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032186) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9251156) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2024-04-14 |