| NPI | 1144078486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R265996) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12019) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 243748) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND 200706) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 228033) | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2025-08-12 |