| NPI | 1629797782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10005826) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11519) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 090191-23) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1095300) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 71040) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-05-27 |