NPI | 1407259476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9183538) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9183538) |
363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP288909) | |
363LF0000X Nurse Practitioner, Family (Licence: CA APRN95012265) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA APRN95012265) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA APRN-NP288909) | |
Enumeration Date | 2014-10-03 |
Last Update Date | 2025-10-08 |