| NPI | 1942293998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175918) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104209-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10043954) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704427434) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025039610) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 04506) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-10-08 |