| NPI | 1518486018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 10886) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 1048342) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6295) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9309830) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7236) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-01-17 |