NPI | 1447200837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3168062) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: APRN3168062) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3168062) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2024-06-10 |