NPI | 1952717415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9206838) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9206838) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9206838) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9206838) | |
Enumeration Date | 2014-07-05 |
Last Update Date | 2025-08-20 |