NPI | 1831401157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009016) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163WG0000X Registered Nurse, General Practice (Licence: FL 946182) | |
Enumeration Date | 2010-07-02 |
Last Update Date | 2020-09-03 |