NPI | 1477823466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9316487) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 289292) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008831) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9316487) | |
Enumeration Date | 2012-01-06 |
Last Update Date | 2025-08-14 |