| NPI | 1194388967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11017747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017747) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186297) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN227455) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 30130) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN227455) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186297) | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-05-08 |