| NPI | 1023042298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184382) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022659) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1064802) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN212011) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-05-09 |