| NPI | 1083200661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95029385) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999600-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1154111) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11031666) | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-05-14 |