NPI | 1881942233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11008051) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9311696) |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11008051) | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2024-09-17 |