| NPI | 1851693840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 637173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R637173) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014462) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12415863-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 264524) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 404081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024904) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61223784) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404081) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61223784) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209024904) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11014462) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12415863-4405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 363LF0000X) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2022-07-25 |