| NPI | 1245716943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014604) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202001856NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201124) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61152390) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 840336) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 65396) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 232005) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-11-15 |