NPI | 1376087064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9324673) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9324673) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL APRN9324673) | |
Enumeration Date | 2016-12-14 |
Last Update Date | 2021-08-04 |