| NPI | 1669918942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN256419) |
| 163W00000X Registered Nurse (Licence: NC 281983) | |
| 163W00000X Registered Nurse (Licence: HI RN-92977) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-2626) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA 2018035391) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2021-11-15 |