| NPI | 1679457402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 238683) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95381760) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10035036) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70064601) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408059) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-02-12 |