| NPI | 1184165995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704276346) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185984) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004971) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 363LP0808X) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 432506) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC A26394) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-07-15 |