| NPI | 1124428834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 16208-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 209475) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014155) | |
| 163W00000X Registered Nurse (Licence: WI 190885) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 219395) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006442) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-12-09 |