NPI | 1457367989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020119) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3006411) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-05-07 |