NPI | 1083227177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R166694) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 00241829981) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 248345) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 470372385) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 083460-23) | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2023-03-18 |