NPI | 1982755146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 1709362) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL ARNP1709362) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2012-07-19 |