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: CO APN.0998847-NP) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61245432) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10789-33) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 270929) | |
Enumeration Date | 2021-01-27 |
Last Update Date | 2024-08-21 |