| NPI | 1083655302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202005262NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202005262NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 20367.0313) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 20367.0313) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-09-22 |