NPI | 1487168662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10003903) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188235) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34618) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704409524) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10106) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010334) | |
Enumeration Date | 2017-11-26 |
Last Update Date | 2024-01-02 |