| NPI | 1851916837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903658) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83076-121) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004297-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30471) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-04-16 |