NPI | 1659569929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9835-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R55661) |
363L00000X Nurse Practitioner (Licence: NM 67159) | |
363L00000X Nurse Practitioner (Licence: CO 0002142) | |
363L00000X Nurse Practitioner (Licence: AZ 248062) | |
363L00000X Nurse Practitioner (Licence: WY 47514) | |
363L00000X Nurse Practitioner (Licence: IA A179463) | |
363L00000X Nurse Practitioner (Licence: WA AP61513334) | |
363L00000X Nurse Practitioner (Licence: FL TPAN296) | |
363L00000X Nurse Practitioner (Licence: WI 9835) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2025-04-07 |