| NPI | 1134527245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN1837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60733123) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201603089NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202009723NP-PP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN1837) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-04-12 |