| NPI | 1205113552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-093340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-093340) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-093340) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 79833) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0103572-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1171988) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2025-08-05 |