| NPI | 1285049254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R883741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007306) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007306) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R883741) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61401686) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006919) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-05-31 |