| NPI | 1689221681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23616) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 832034) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 246376) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 083252-23) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2021-08-30 |