NPI | 1518455633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9202358) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9202358) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9202358) | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2025-10-03 |