| NPI | 1124622667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403920-01) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 266391) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2348902) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1151292) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28238409A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN-TEMP3607) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2024-07-03 |