NPI | 1679900484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002445) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010737) |
Enumeration Date | 2013-10-11 |
Last Update Date | 2023-01-03 |