NPI | 1326480724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9345576) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9345576) |
163W00000X Registered Nurse (Licence: FL 9345576) | |
Enumeration Date | 2013-07-25 |
Last Update Date | 2025-09-16 |