| NPI | 1063831212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R237702) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027889) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.15582-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175875) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029327) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-06-24 |