| NPI | 1720663701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29321) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 104470) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166642) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 64857) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019437) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61249213) | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2022-07-25 |