| NPI | 1275974610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G146021) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401779) |
| 163W00000X Registered Nurse (Licence: IA 146021) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9341880) | |
| 163W00000X Registered Nurse (Licence: NY 665183) | |
| 163W00000X Registered Nurse (Licence: FL RN9341880) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2019-10-01 |