| NPI | 1164663613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60222250) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 683042) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401451-1) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 19159) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3253) | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2021-01-20 |