| NPI | 1336395706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61151704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 61151126) |
| 163W00000X Registered Nurse (Licence: WI 256698-30) | |
| 163W00000X Registered Nurse (Licence: OH RN270058) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN-CNP026168) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10456-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP026168) | |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2021-06-20 |