NPI | 1124214663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6141) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 204311) |
363L00000X Nurse Practitioner (Licence: AL 1-099665) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010244) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022104) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61039981) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10014749) | |
Enumeration Date | 2007-09-19 |
Last Update Date | 2023-09-15 |