NPI | 1699372987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009600) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0992685-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009600) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP241057) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009600) | |
101YM0800X Counselor, Mental Health (Licence: FL APRN11009600) | |
Enumeration Date | 2020-10-08 |
Last Update Date | 2024-06-27 |