NPI | 1598318024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004324) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004324) |
163WG0000X Registered Nurse, General Practice (Licence: FL RN9367203) | |
Enumeration Date | 2019-07-23 |
Last Update Date | 2025-01-29 |