| NPI | 1205348414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201804406NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23451) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23451) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TN 23451) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2019-08-09 |