NPI | 1851766737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 32311692) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP3237692) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3237692) | |
Enumeration Date | 2015-12-03 |
Last Update Date | 2024-08-25 |