NPI | 1619443454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9234661) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9234661) |
Enumeration Date | 2018-10-19 |
Last Update Date | 2024-03-23 |