| NPI | 1578170320 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704262501)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A181170)  | 
| 363L00000X Nurse Practitioner (Licence: ID 1071141)  | |
| 363L00000X Nurse Practitioner (Licence: WY 55398)  | |
| 363L00000X Nurse Practitioner (Licence: ND TEMP203014)  | |
| 363L00000X Nurse Practitioner (Licence: KS 5383935091)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12501)  | |
| 363L00000X Nurse Practitioner (Licence: VT 101.0137543)  | |
| 363L00000X Nurse Practitioner (Licence: MT APRN244357)  | |
| 363L00000X Nurse Practitioner (Licence: SD CP003479)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030962)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 20223095941)  | |
| 363L00000X Nurse Practitioner (Licence: GA APRN-NP333338)  | |
| 363L00000X Nurse Practitioner (Licence: TX 1016646)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012784)  | |
| Enumeration Date | 2020-09-25 | 
| Last Update Date | 2025-10-30 |