NPI | 1891030417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9314378) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN9314378) |
Enumeration Date | 2012-12-07 |
Last Update Date | 2024-08-20 |