NPI | 1710475587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9377438) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9377438) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2024-10-07 |