| NPI | 1740758127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014002272) |
| 163W00000X Registered Nurse (Licence: CA 95276634) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1072592) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021050323) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 300736) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-01-16 |