NPI | 1881887925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9213048) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL Aprn9213048) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2022-06-02 |