| NPI | 1518037860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI MB5413517) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60904947) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201808983NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001747) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8875-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6249) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 201800983) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-26 |