| NPI | 1609307149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216702) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021611) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61659020) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G182691) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 014199) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 9971441) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1193847) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192565) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033107) | |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2025-06-30 |