| NPI | 1720164320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 0386509) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 00000) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003720) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R117618) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36255) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-05-21 |