| NPI | 1255022174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10008134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10008134) |
| 163W00000X Registered Nurse (Licence: MO 2018024074) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023007985) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID TEMP76102) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 293210) | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-07-19 |