| NPI | 1316507437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202010807NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61099021) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP191090) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-09-13 |