| NPI | 1164417606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34487) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202204006NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95006278) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188254) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-01-31 |