NPI | 1790064046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023207276) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9284238) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9284238) | |
Enumeration Date | 2011-08-04 |
Last Update Date | 2024-01-19 |