NPI | 1427117852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9166242) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9166242) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2022-02-23 |