NPI | 1851909212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007989) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11007989) |
363L00000X Nurse Practitioner (Licence: FL APRN11007989) | |
Enumeration Date | 2020-07-21 |
Last Update Date | 2024-05-17 |