| NPI | 1215715743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN185789) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ TEMP297588) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10015767) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11027995) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-02-25 |