NPI | 1750851861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9346795) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9346795) |
Enumeration Date | 2018-12-01 |
Last Update Date | 2020-12-28 |