| NPI | 1003412313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 70114) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11142452-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61130526) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN-179639) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11018058) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071419) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-02-21 |