NPI | 1750979373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11010984) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1101984) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11010984) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL APRN1101984) | |
Enumeration Date | 2021-01-08 |
Last Update Date | 2024-11-18 |