| NPI | 1134364524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201402104NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 1022652) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP 60328599) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2020-12-15 |