| NPI | 1134762917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10000425) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0036118) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005294) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11004331) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019594) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61542089) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-06-19 |