NPI | 1275163834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11005770) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11005770) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2024-06-07 |