| NPI | 1285040410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 2014008486) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201508384NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61548690) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-09-19 |