NPI | 1295073542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029725) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 068639-23) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6735) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2272696) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10802) | |
Enumeration Date | 2013-01-22 |
Last Update Date | 2024-04-24 |