| NPI | 1215190657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 9824823-8900) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200850067NP) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-07-21 |