| NPI | 1790363653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14933300) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10009869) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61395314) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN263471) | |
| 163W00000X Registered Nurse (Licence: GA RN263471) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-11-28 |