| NPI | 1477223212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 263655) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-238234) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 54349) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R55909) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-05-13 |