| NPI | 1861157406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2383361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9465893) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11018346) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.027837) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100998-C-NP) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-03-05 |