| NPI | 1922683622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1090199) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95019735) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ CNP278448) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01466600) | |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2023-11-11 |