| NPI | 1073698692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 4581812) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10024634) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14882) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008080) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71006624A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11026412) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12788915-4405) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2026-07-09 |