| NPI | 1053893487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202200542NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10209) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145887) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP10209) | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2025-05-29 |