NPI | 1285093062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9296627) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9296627) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2019-08-14 |