NPI | 1780163782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9369005) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9369005) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9369005) | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2025-06-26 |