| 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 |