NPI | 1699399691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007505) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9321416) |
Enumeration Date | 2020-06-04 |
Last Update Date | 2022-09-08 |