NPI | 1871076992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9311008) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP93110008) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9311008) | |
Enumeration Date | 2018-09-13 |
Last Update Date | 2023-11-07 |