| NPI | 1710578315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 203115) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN-191599) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 270929) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998847-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61245432) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10789-33) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-08-04 |