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 |