NPI | 1689855264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9181473) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 918 1473) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2024-02-22 |