| NPI | 1962966317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 251191) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 826622) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ID 63364) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024182923) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 826622) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182923) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 63364) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 251191) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-06-27 |