| NPI | 1417581588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5014950) |
| 363L00000X Nurse Practitioner (Licence: CO 0103338) | |
| 163W00000X Registered Nurse (Licence: PA RN652991) | |
| 163W00000X Registered Nurse (Licence: KY 4010974) | |
| 163W00000X Registered Nurse (Licence: NY 968511) | |
| 363L00000X Nurse Practitioner (Licence: PA SP021377) | |
| 163W00000X Registered Nurse (Licence: NC 34302) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-01-17 |