| NPI | 1417500786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-63745) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 155955) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 259122) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24185688) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 114662) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11022333) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0002821) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202102650) | |
| Enumeration Date | 2019-07-16 | 
| Last Update Date | 2023-07-12 |