NPI | 1295070647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2726932) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2726932) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2022-08-23 |