NPI | 1447652862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9284115) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP9284115) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2024-10-14 |