NPI | 1396433728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1102786) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9551104) |
Enumeration Date | 2023-04-25 |
Last Update Date | 2024-03-05 |