NPI | 1700128535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R882657) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01457900) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11016531) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0135877) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2376681) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404677) | |
Enumeration Date | 2013-03-19 |
Last Update Date | 2023-03-15 |