| NPI | 1093713505 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201508867NP-PP) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 537618) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 202588) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 537618) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 537618) | |
| Enumeration Date | 2005-07-08 | 
| Last Update Date | 2024-08-14 |