| NPI | 1902304678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 271416) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13987096-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102379-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 79497) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405679-01) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2025-07-01 |