NPI | 1265749659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN919280) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9192830) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL ARNP 9192830) | |
Enumeration Date | 2010-09-07 |
Last Update Date | 2025-05-06 |