| NPI | 1457624793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003837) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK R67201) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95003837) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R50447) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0067201) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R50447) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000453) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-08-12 |