NPI | 1376080333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN9311097) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9311097) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9311097) | |
Enumeration Date | 2017-01-27 |
Last Update Date | 2022-11-07 |