| NPI | 1629805742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020970) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405932) |
| 163W00000X Registered Nurse (Licence: NC 373407) | |
| 163W00000X Registered Nurse (Licence: NY 849209) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2024041601) | |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-10-09 |