NPI | 1699124230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9250649) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340569-1) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1176242) | |
Enumeration Date | 2016-06-05 |
Last Update Date | 2025-04-28 |