| NPI | 1407992696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400963) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009039) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 058939-23) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231095) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6893) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-01-22 |