NPI | 1437665601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9365884) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9365884) |
Enumeration Date | 2017-12-23 |
Last Update Date | 2024-07-15 |