| NPI | 1295458917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 227361) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407925) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 15801) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104240-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0138609TELE) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 330988) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 227361) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2026-03-17 |