| NPI | 1306236799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 8861970) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10033534) |
| 163W00000X Registered Nurse (Licence: ID 7761478) | |
| 163W00000X Registered Nurse (Licence: CA 780214) | |
| 163W00000X Registered Nurse (Licence: OR 10033534) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95001451) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2024-10-29 |