NPI | 1235557323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9215914) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9215914) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2019-05-30 |