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 |