NPI | 1528496155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9259355) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9259355) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9259355) | |
Enumeration Date | 2013-10-16 |
Last Update Date | 2024-06-16 |