| NPI | 1871138263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11003543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9416704) |
| 163W00000X Registered Nurse (Licence: MN 2478891) | |
| 163W00000X Registered Nurse (Licence: MA RN2362493) | |
| 163W00000X Registered Nurse (Licence: NY 864485) | |
| 363L00000X Nurse Practitioner (Licence: MN 7151) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7151) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2362493) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404847) | |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2023-05-04 |