| NPI | 1265741409 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030062) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704274229) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61451491) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704274229) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1108440) | |
| Enumeration Date | 2010-10-06 | 
| Last Update Date | 2025-06-13 |