NPI | 1578333233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11030013) |
Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: FL RN9193131) |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-30 |