| NPI | 1245855204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA rn211263) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181340) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012845) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021595) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 95021595) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-03-20 |