NPI | 1316537756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011170) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN11011170) |
363L00000X Nurse Practitioner (Licence: FL 11011170) | |
Enumeration Date | 2021-01-20 |
Last Update Date | 2025-08-25 |