| NPI | 1295019909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202100794NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119115) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61131624) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202100794nppp) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP119115) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2024-05-01 |