| NPI | 1811736341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020160) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190274) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 79308) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137136TELE) | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-06-28 |