| NPI | 1194122259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0102116-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10042234) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407286) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70016265) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2025-10-08 |