| NPI | 1609344977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 50114431) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NC 50114431) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL 11000030) | |
| 251S00000X Community/Behavioral Health (Licence: NC 50114431) | |
| 251S00000X Community/Behavioral Health (Licence: FL 11000030) | |
| 363L00000X Nurse Practitioner (Licence: NC 50114431) | |
| 363L00000X Nurse Practitioner (Licence: FL 11000030) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 50114431) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11000030) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: NC 50114431) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: FL 11000030) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11000030) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 50114431) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 11000030) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11000030) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-06-10 |