NPI | 1326689761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11019339) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9520505) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2022-05-02 |