| NPI | 1154145415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407188) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 889647) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G184489) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10045122) | |
| 163W00000X Registered Nurse (Licence: OR 10045122) | |
| 163W00000X Registered Nurse (Licence: NV 889647) | |
| 163W00000X Registered Nurse (Licence: WA RN70005089) | |
| 163W00000X Registered Nurse (Licence: NY 800158) | |
| 163W00000X Registered Nurse (Licence: IA 184462) | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-07-17 |