NPI | 1346799269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R216318) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN648527) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003267) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1043064) | |
Enumeration Date | 2016-10-04 |
Last Update Date | 2023-03-01 |