| NPI | 1508464397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1161913) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01068500) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405429) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102715-C-NP) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-08-07 |