| NPI | 1740826643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP001676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 37662) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 201317) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5021546) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 121412) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC007091) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 014096) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F344819-01) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344819) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15319800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29580) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003464) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032801) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1616433) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2025-10-10 |