| NPI | 1083007843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202004476NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0992260) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7179) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CO 1631093) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-08-13 |