| NPI | 1255863767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201803795NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201803794) |
| 163W00000X Registered Nurse (Licence: AZ 233893) | |
| 163W00000X Registered Nurse (Licence: WI 221711) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G168938) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 221711) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7619) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 233893) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-04-11 |