| NPI | 1366812380 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201507845NP-PP) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201507845NP-PP) | 
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60787605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9277250) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-170570) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 167743) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9277250) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-170570) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 167743) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60787605) | |
| Enumeration Date | 2015-10-02 | 
| Last Update Date | 2024-02-03 |