| NPI | 1477624294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10005315) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188218) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34616) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003320) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704409517) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-01-02 |