NPI | 1356891915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9299058) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9299058) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 9299058) | |
Enumeration Date | 2016-10-07 |
Last Update Date | 2024-09-20 |