NPI | 1770477291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11039703) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9482194) |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-06-09 |