| 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: MN 10106) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102931-C-NP) | |
| 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: VA 0024188235) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010334) | |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2025-01-08 |