NPI | 1134762917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11004331) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019594) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005294) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0036118) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10000425) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61542089) | |
Enumeration Date | 2019-10-23 |
Last Update Date | 2025-05-23 |