| NPI | 1104248798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10187-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10187-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132207) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10720) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18267) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9403701) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2022-08-03 |