| NPI | 1144780826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903125) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014733) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29238) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 205119) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-01 |