| NPI | 1295704484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 76062) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: OK 212340) |
| 363L00000X Nurse Practitioner (Licence: CA NP16048) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 212340) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: OK 212340) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-07-22 |