| NPI | 1043559396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0001924-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201902598NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15077100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP001640) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023458) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-119499) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003369) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24179007) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60958295) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1055833) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 11085897-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 818487) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704368137) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2025-10-06 |