NPI | 1902131006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9239865) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9239865) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2016-03-02 |