NPI | 1861128803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020288) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11020288) |
363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11020288) | |
Enumeration Date | 2022-07-30 |
Last Update Date | 2024-12-02 |