NPI | 1831668110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405009) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61445607) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004144) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000024885) | |
Enumeration Date | 2018-11-16 |
Last Update Date | 2025-06-16 |