NPI | 1376008813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11001365) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11001365) |
Enumeration Date | 2019-02-08 |
Last Update Date | 2023-04-29 |