| NPI | 1063726578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10016847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN601211) |
| 363L00000X Nurse Practitioner (Licence: PA SP013074) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0024182838) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-04-11 |