NPI | 1467851493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN3117292) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 3117292) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-07-08 |