NPI | 1285949156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3353352) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA 210760) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2014-07-01 |