| NPI | 1902093925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R162866) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP008590) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F4008800) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC NP1026551) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 9468249) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 33160) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024170069) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00116200) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-01-18 |