| NPI | 1750929360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 338409) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN113040) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 303227) | |
| 163W00000X Registered Nurse (Licence: NY 783199) | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2024-04-17 |