| NPI | 1154092245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11015633) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRNCNP880058) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ APRNRNP283627) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000425) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61504047) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-12-08 |