| NPI | 1629304050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35210) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60911648) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704409778) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189119) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA RN165046) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2024-06-18 |