NPI | 1326577545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9169558) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137070) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35025) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406174) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2024-07-16 |