| NPI | 1255609459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AK 106651) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 15403) |
| 363LF0000X Nurse Practitioner Family (Licence: OK R0114440) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX API141665) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0002098-C-NP) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2024-01-09 |