| NPI | 1619360070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704422305) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012605) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11235) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61438293) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2025-04-21 |