NPI | 1437729290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1101198) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011198) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2025-10-12 |