NPI | 1780841155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN3288082) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3288082) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3288082) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2024-09-24 |