| NPI | 1710434055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132667) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018026578) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201801732NPPP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60838569) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 825045) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5803) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8279-33) | |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2024-04-04 |