| NPI | 1922632082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033542) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 78154) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0101340-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 306115) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101993-C-NP) | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-04-12 |