| NPI | 1659004927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017036) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 114228) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 26673) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000919) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-02-02 |