| NPI | 1407408412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10022282) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN2820) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC009058) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009103A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1207075) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408785) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: IN 71009103A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016709) | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2026-07-23 |