| NPI | 1922683630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 266139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95125715) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019315) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35696) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189035) | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-02-09 |