NPI | 1902317324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9374584) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9374584) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2022-03-30 |