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: MI 4704409517) |
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: WA AP61404244) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-09-30 |