| NPI | 1366886426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2344997) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9212391) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VT 026.0139204) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60641086) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8684) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN257514) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9212391) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2019-12-13 |