NPI | 1316472129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9309698) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9309698) |
Enumeration Date | 2017-04-30 |
Last Update Date | 2023-11-27 |