NPI | 1720688930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61227463) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-4432) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0101798) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1036018) | |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-12-08 |