| NPI | 1225718588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G176256) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61480296) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13724038-4405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10017607) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34373) | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-12-23 |