NPI | 1508301714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9352223) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9352223) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL ARNP9352223) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP9352223) | |
Enumeration Date | 2016-12-23 |
Last Update Date | 2025-06-11 |