NPI | 1346842234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011262) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9395261) |
Enumeration Date | 2020-11-15 |
Last Update Date | 2024-10-24 |