| NPI | 1518451152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112492) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60879307) |
| 363L00000X Nurse Practitioner (Licence: CA 95027425) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A124634) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G172492) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-09-10 |