NPI | 1639542749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000887) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003315) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 60116) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23391) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 233235) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61198831) | |
Enumeration Date | 2015-11-11 |
Last Update Date | 2022-01-28 |