NPI | 1841926276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021066) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021066) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11021066) | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2025-10-08 |