| NPI | 1770149569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11002166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 115878) |
| 363L00000X Nurse Practitioner (Licence: IN 71015301A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11002166) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231007) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-08-23 |