| NPI | 1811483480 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 223084)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61046297)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 59345)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 024140)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403423)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11014805)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0002327-C-NP)  | |
| Enumeration Date | 2018-07-07 | 
| Last Update Date | 2024-08-07 |