| NPI | 1548920713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 30885) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0037168) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT APRN-241826) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1127717) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL TPAN2487) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2024030905) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-RXN.0100755-C-NP) | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-10-10 |