| NPI | 1467905778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 1690) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020494) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60877594) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNCNP019622) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-05-15 |