NPI | 1407458417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003140) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11003140) |
363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP0000326) | |
Enumeration Date | 2020-11-13 |
Last Update Date | 2024-07-17 |