NPI | 1699845321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2022014223) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9191340) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-10-08 |