| NPI | 1073021572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2357290) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10896) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03126) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN03126) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP6033) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11020793) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-04-12 |