| NPI | 1891339099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-159990) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-159990) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11004913) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004913) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN300940) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-09-12 |