| NPI | 1750829123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61055172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN217067) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 238123) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012195) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202200497NP-PP) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-07-14 |