| NPI | 1427625128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95342351) |
| 163W00000X Registered Nurse (Licence: VA 1315620) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 31140) | |
| 163W00000X Registered Nurse (Licence: NC 214605) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25177A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 118038) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028544) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-02-01 |