| NPI | 1053643866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202100980NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100541) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61163183) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2025-01-27 |